A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply.)

Striae gravidarum

Chloasma

Linea nigra

Eczema

Psoriasis

Answer and Explanation

Correct Answer : A,B,C

Explanation:

A. Striae gravidarum: Also known as stretch marks, striae gravidarum are common during pregnancy due to the stretching and thinning of the skin as the uterus expands. They often appear as pink or purple streaks on the abdomen, breasts, hips, and thighs.

B. Chloasma: Chloasma, also called the "mask of pregnancy," refers to hyperpigmented areas on the face, typically appearing as brown patches on the cheeks, forehead, and upper lip. It is caused by hormonal changes during pregnancy and increased melanin production.

C. Linea nigra: Linea nigra is a dark line that develops vertically along the midline of the abdomen during pregnancy. It is caused by hormonal changes and increased pigmentation, and it typically fades after childbirth.

D. Eczema: Eczema, a skin condition characterized by red, itchy, and inflamed patches, may or may not be directly related to pregnancy. Some women may experience flare-ups of eczema during pregnancy due to hormonal changes or other factors, but it is not specific to the second trimester.

E. Psoriasis: Psoriasis, another skin condition characterized by red, scaly patches, may also flare up during pregnancy for some individuals. However, like eczema, it is not specific to the second trimester and can occur at any time.

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Correct Answer is D

Explanation

Explanation:

The safest recommendation for alcohol intake during pregnancy is to avoid alcohol completely. There is no known safe level of alcohol consumption during pregnancy, as even small amounts of alcohol can potentially harm the developing fetus. Alcohol crosses the placenta and can lead to a range of serious complications known as fetal alcohol spectrum disorders (FASDs), including physical, behavioral, and intellectual disabilities.

A. "A gain of about 1 pound per week is the best pattern for you." B. "It would be best if you gained about 11 to 20 pounds." C. "The recommendation for you is about 15 to 25 pounds." D. "A gain of about 25 to 35 pounds is recommended for you."

Correct Answer is C

Explanation

Explanation:

A. "A gain of about 1 pound per week is the best pattern for you."

This response suggests a weight gain pattern rather than a total recommended weight gain for the entire pregnancy. A gain of about 1 pound per week would typically align with the recommended weight gain for individuals with a normal pre-pregnancy BMI (Body Mass Index). However, for someone with an overweight BMI (BMI 25 to 29.9), this rate of weight gain might be higher than the recommended range. Therefore, it may not be the best pattern for the client with a BMI of 26.5.

B. "It would be best if you gained about 11 to 20 pounds."

This response provides a weight gain range that is more appropriate for individuals with an obese BMI (BMI 30 or higher) rather than those with an overweight BMI. The recommended weight gain for someone with an overweight BMI is higher than 11 to 20 pounds. Therefore, this response underestimates the recommended weight gain for the client with a BMI of 26.5.

C. "The recommendation for you is about 15 to 25 pounds."

This response aligns with the recommended weight gain range for individuals with an overweight BMI (BMI 25 to 29.9). According to the Institute of Medicine (IOM) guidelines, the recommended weight gain for someone with an overweight BMI is about 15 to 25 pounds during pregnancy. This choice accurately reflects the appropriate recommendation for the client with a BMI of 26.5.

D. "A gain of about 25 to 35 pounds is recommended for you."

This response suggests a weight gain range that is more appropriate for individuals with a normal pre-pregnancy BMI (BMI 18.5 to 24.9). The recommended weight gain for someone with an overweight BMI is lower than 25 to 35 pounds. Therefore, this response overestimates the recommended weight gain for the client with a BMI of 26.5.

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A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is 4 weeks pregnant, is at the first prenatal visit and reports to the nurse the use of alcohol. Which of the following should the nurse educate the client about, to be a safe level of alcohol intake during pregnancy?

Correct Answer is D

Explanation

A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

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